NUR 411 High acuity: Nursing care of the
high risk neonate (NICU) Questions and
Answers 100% Correct
What is a high risk neonate? - ANSWER a newborn, regardless of gestational
age or birth weight, who has greater than average chance of morbidity or
mortality due to conditions associated with birth and the transition to
extrauterine life
How do we classify high risk neonates? - ANSWER Weight
Growth
Gestational Age
What is considered a low birth weight of a high risk neonate? - ANSWER <2500
grams
What is considered a very low birth weight of a high risk neonate? - ANSWER
<1500 grams
What is considered an extremely low birth weight for a high risk neonate? -
ANSWER <1000 grams
What are the growth classifications of a high risk neonate? - ANSWER -
intrauterine growth restriction (how they were growing in utero)
-small for gestational age (can have normal growth but still just small, <10%)
-large for gestational age (>90%)
,What are the 3 gestational age classifications of a high risk neonate? - ANSWER
-premature infant </= 36 6/7 weeks
-Term infant >/= 37 0/7 weeks
-Post-mature infant >42 weeks gestation
What are the NICU risk factors? - ANSWER -prematurity
-low birth weight- may just be too small to stay warm
-birth depression
-high risk pregnancy
-congenital anomalies
What are the risk factors for prematurity - ANSWER -teen pregnancy
-advanced maternal age (>35)
-low socioeconomic status
-drug use and tobacco use
-history of preterm birth
-multiple gestation (twins, triplets)
-obesity
-diabetes
-hypertension
-infection (moms PROM, UTI, viral infection)
-infertility treatments: IVF, multiple babies
, What do we need to know regarding neonatal resuscitation? - ANSWER -
neonatal resuscitation program (NRP)
-about 10% of newborns require some assistance to begin breathing at birth
-less than 1% require extensive resuscitative measures, such as cardiac
compressions or medications
-every birth should be attended by 1 person who can perform initial steps of
newborn resuscitation and PPV (someone to preform bag and mask)
What are the important questions we need to ask regarding neonatal
resuscitation? - ANSWER What's their gestation?
-are they term? premature?
What's their tone?
-crying and such they don't need resuscitation, or are they floppy?
Are they breathing or crying?
-crying baby is a breathing baby
What does post resuscitation care in the NICU consist of? - ANSWER -
thermoregulation
-monitor glucose- heel sticks
-Labs
-X-ray
-IV fluids
-management of lines and tubes
-monitor vital signs (continuous ECG)
-support family**- especially for those who expected normal healthy baby
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